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Nailed It Ortho
Board/OITE Review: Hand 03 - Wrist + Scaphoid Injuries
Oct 29, 2023
Dr. Cole, a skilled orthopaedic professional, and Dr. Woolwine, an expert in orthopaedic education, dive deep into wrist and scaphoid injuries. They highlight the complications from distal radius fractures and introduce the SOON classification to explain tendon ruptures. Discussions include advancements in dorsal bridge plating for complex fractures and management strategies for wrist dislocations. They also cover crucial diagnostic techniques for scaphoid fractures, emphasizing the pivotal role of snuff box tenderness and imaging methods.
20:24
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Quick takeaways
- The external fixation of distal radius fractures can lead to complications such as inadequate fragment control and pin site infections.
- Dorsal bridge plating is crucial for treating highly comminuted fractures, offering enhanced stability and support during recovery.
Deep dives
External Fixation Complications
External fixation of distal radius fractures may lead to several complications, including inadequate fragment control, fracture subsidence, and stiffness of the fingers. Pin site infections are a common concern when inserting pins through the metacarpal and into the distal radial shaft. Complications can also arise from superficial radial nerve involvement and potential damage to extensor tendons during the procedure. An essential aspect to consider is the positioning of the volar plate; its prominence in relation to the volar lip of the distal radius significantly influences the risk of flexor pollicis longus ruptures.
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